Connor Keith Wilson, MD, MPH
Emergency Medicine in Providence, RI. Individual provider (NPI-1).
NPI number1891369906
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1891369906
- Entity type
- Individual (NPI-1)
- Name
- Connor Keith Wilson
- Credential
- MD, MPH
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 14, 2021
- Certification date
- Sep 11, 2025
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 1022809 | MA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | LP05312 | RI |
Practice location
593 Eddy StProvidence, RI 02903-4923
Phone 401-444-6489
Mailing address
593 Eddy StProvidence, RI 02903-4923
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All 255 Emergency Medicine Physician providers in Providence · All 11,044 providers in Providence
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